healthcosts.net
Mapping io sentinel lymph node at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,595.10
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,454.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $3,004.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| UNITED | Managed Medicaid | $66.85 | ↓ -96% |
| Buckeye | Managed Medicaid | $68.86 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $68.86 | ↓ -96% |
| ANTHEM | Managed Medicaid | $70.19 | ↓ -96% |
| MOLINA | Managed Medicaid | $70.19 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $73.54 | ↓ -95% |
| United | Managed Medicaid | $73.82 | ↓ -95% |
| Caresource | Managed Medicaid | $76.03 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $81.20 | ↓ -95% |
| Molina | Managed Medicaid | $81.20 | ↓ -95% |
| Summacare | Preferred | $84.92 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $84.92 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $91.34 | ↓ -94% |
| Oscar | All Products | $91.48 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $111.04 | ↓ -93% |
| United | Medicare Advantage | $121.79 | ↓ -92% |
| Aetna | Medicare Advantage | $121.79 | ↓ -92% |
| Anthem | Medicare Advantage | $121.79 | ↓ -92% |
| The Health Plan | Medicare Advantage | $121.79 | ↓ -92% |
| Cigna | Medicare Advantage | $121.79 | ↓ -92% |
| Humana | Medicare Advantage HMO | $121.79 | ↓ -92% |
| Summacare | Medicare Advantage MD | $124.11 | ↓ -92% |
| MMO | Medicare HMO & PPO | $125.44 | ↓ -92% |
| Summacare | Premier | $127.88 | ↓ -92% |
| CommuniCare | Medicare Advantage | $127.88 | ↓ -92% |
| Aultcare | PPO/HMO | $128.88 | ↓ -92% |
| Perennial Health | Medicare Advantage | $131.53 | ↓ -92% |
| The Health Plan | All Products PCP | $133.97 | ↓ -92% |
| OHCP | All Products | $140.04 | ↓ -91% |
| The Health Plan | All Products Specialty Physicians | $140.06 | ↓ -91% |
| The Health Plan | All Products Radiation Oncology Physicians | $158.33 | ↓ -90% |
| OMAS | All Products | $180.00 | ↓ -89% |
| Anthem | All Products Mid-Level Non-Facility | $184.88 | ↓ -88% |
| MMO | SuperMed | $194.40 | ↓ -88% |
| PHPHI | All Products | $216.00 | ↓ -86% |
| MMO | Traditional | $252.00 | ↓ -84% |
| GMS | All Products | $252.00 | ↓ -84% |
| Immergrun | All Products | $270.00 | ↓ -83% |
| Aetna | All Products First Health | $270.00 | ↓ -83% |
| Aetna | Asa | $288.00 | ↓ -82% |
| United | All Products - Mid-Level | $307.14 | ↓ -81% |
| Multiplan | All Products | $324.00 | ↓ -80% |
| United | All Products | $341.27 | ↓ -79% |
| United | HMO & PPO | $341.27 | ↓ -79% |
| Aetna | Qhp/Ifp | $360.00 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $534.97 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $693.99 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $785.28 | ↓ -51% |
| PHP | ALL PRODUCTS | $785.28 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $829.45 | ↓ -48% |
| Summacare | PREMIER | $937.43 | ↓ -41% |
| MMO | ALL PRODUCTS | $1,099.39 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,104.30 | ↓ -31% |
| ANTHEM | HPN | $1,116.08 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $1,158.29 | ↓ -27% |
| ANTHEM | Exchange | $1,181.60 | ↓ -26% |
| OHCP | ALL PRODUCTS | $1,192.64 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,227.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,227.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $1,312.89 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $1,325.16 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,357.06 | ↓ -15% |
| The Health Plan | PPO | $1,566.63 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $1,717.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,717.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,840.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,840.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $2,061.36 | ↑ +29% |
| FrontPath | TRANSPLANT | $2,208.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,208.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,208.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,208.60 | ↑ +38% |
| The Health Plan | HMO | $2,454.00 | ↑ +54% |
| The Health Plan | POS | $2,454.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $2,454.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $2,833.00 | ↑ +78% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +79% |
| AETNA | International | $3,004.00 | ↑ +88% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
Visitor-reported prices
Comments
Mapping io sentinel lymph node at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $650.00 | $1.10 – $900.00 |
| akron general | Akron | $650.00 | $1.10 – $324.00 |
| avon hospital | Avon | $1,595.10 | $69.79 – $2,208.60 |
| euclid hospital | Euclid | $1,595.10 | $71.51 – $2,208.60 |
| fairview hospital | Cleveland | $1,595.10 | $67.18 – $2,208.60 |
| lutheran hospital | Cleveland | $1,595.10 | $63.95 – $2,208.60 |
| hillcrest hospital | Mayfield Heights | $1,595.10 | $70.00 – $2,208.60 |
| marymount hospital | Garfield Heights | $1,595.10 | $63.15 – $2,208.60 |